Document Name Document Type
Form FS Form 4144 Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series. Form
SLGSafe Screenshots_1530-0065.pdf treasurydirect.gov/govt/apps/slgs/slgsafe/slgsafe.htm Other-Screenshots of SLGSafe System
SLGSafe Screenshots_1530-0065.pdf treasurydirect.gov/govt/apps/slgs/slgsafe/slgsafe.htm Other-Screenshots of SLGSafe System
FS Form 4144 Subscription for Purchase and Issue of U.S. Treasury Sec FS Form 4144.pdf Form
FS Form 4144 Subscription for Purchase and Issue of U.S. Treasury Sec FS Form 4144.pdf Form
FS Form 4144-1 Account Information for U.S. Treasury Securities State a FS Form 4144-1.pdf Form
FS Form 4144-1 Account Information for U.S. Treasury Securities State a FS Form 4144-1.pdf Form
FS Form 4144-2 Schedule of U.S. Treasury Securities - State and Local G FS Form 4144-2.pdf Form
FS Form 4144-2 Schedule of U.S. Treasury Securities - State and Local G FS Form 4144-2.pdf Form
FS Form 4144-5 SLGSafe Application for Internet Access FS Form 4144-5.pdf Form
FS Form 4144-5 SLGSafe Application for Internet Access FS Form 4144-5.pdf Form
FS Form 4144-6 SLGSafe User Acknowledgement FS Form 4144-6.pdf Form
FS Form 4144-6 SLGSafe User Acknowledgement FS Form 4144-6.pdf Form
FS Form 4144-7 SLGSafe Template Worksheet FS Form 4144-7.pdf Form and Instruction
FS Form 4144-7 SLGSafe Template Worksheet FS Form 4144-7.pdf Form and Instruction
FS Form 5377 U.S. Treasury Securities State and Local Government Seri FS Form 5377.pdf Form and Instruction
FS Form 5377 U.S. Treasury Securities State and Local Government Seri FS Form 5377.pdf Form and Instruction
FS Form 5237 Subscription for Purchase of U.S. Treasury Securities St FS Form 5237.pdf Form and Instruction
FS Form 5237 Subscription for Purchase of U.S. Treasury Securities St FS Form 5237.pdf Form and Instruction
FS Form 5238 Request for Redemption of U.S. Treasury Securities State FS Form 5238.pdf Form and Instruction
FS Form 5238 Request for Redemption of U.S. Treasury Securities State FS Form 5238.pdf Form and Instruction

Information Collection (IC) Details

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IC Title:	Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FS Form 4144	Subscription for Purchase and Issue of U.S. Treasury Securities - State and Local Government Series Time Deposit	FS Form 4144.pdf		Yes	No	Fillable Printable
Form	FS Form 4144-1	Account Information for U.S. Treasury Securities State and Local Government Series	FS Form 4144-1.pdf		Yes	No	Fillable Printable
Form	FS Form 4144-2	Schedule of U.S. Treasury Securities - State and Local Government Series Time Deposit	FS Form 4144-2.pdf		Yes	No	Fillable Printable
Form	FS Form 4144-5	SLGSafe Application for Internet Access	FS Form 4144-5.pdf		Yes	No	Fillable Printable
Form	FS Form 4144-6	SLGSafe User Acknowledgement	FS Form 4144-6.pdf		Yes	No	Fillable Printable
Form and Instruction	FS Form 4144-7	SLGSafe Template Worksheet	FS Form 4144-7.pdf		Yes	No	Fillable Printable
Form and Instruction	FS Form 5377	U.S. Treasury Securities State and Local Government Series Early Redemption Request	FS Form 5377.pdf		Yes	No	Fillable Printable
Form and Instruction	FS Form 5237	Subscription for Purchase of U.S. Treasury Securities State and Local Government Series One-Day Certificate of Indebtedness Demand Deposit	FS Form 5237.pdf		Yes	No	Fillable Printable
Form and Instruction	FS Form 5238	Request for Redemption of U.S. Treasury Securities State and Local Government Series One-Day Certificate of Indebtedness Demand Deposit	FS Form 5238.pdf		Yes	No	Fillable Printable
Other-Screenshots of SLGSafe System			SLGSafe Screenshots_1530-0065.pdf	https://treasurydirect.gov/govt/apps/slgs/slgsafe/slgsafe.htm	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,437	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,437	6,437
Annual IC Time Burden (Hours)	2,578	2,578
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Subscription For Purchase and Issue of U.S. Treasury Securities-- State and Local Government Series.

Subscription For Purchase and Issue of U.S. Treasury Securities - State and Local Government Series.

OMB: 1530-0065

IC ID: 16602

View Information Collection (IC)